How much rates vary
Facilitymedian $3,715 · 10th to 90th $776 to $11,749Professionalmedian $2,239 · 10th to 90th $1,175 to $3,388
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $4,365.16 Median $6,606.93 Typical High $8,709.64 | Facility | None | $4,365.16 | $6,606.93 | $8,709.64 |
Aetna Setting Professional Modifier None Typical Low $1,412.54 Median $1,995.26 Typical High $1,995.26 | Professional | None | $1,412.54 | $1,995.26 | $1,995.26 |
Anthem BCBS Setting Facility Modifier None Typical Low $933.25 Median $11,748.98 Typical High $13,803.84 | Facility | None | $933.25 | $11,748.98 | $13,803.84 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,258.93 Median $2,398.83 Typical High $3,311.31 | Professional | None | $1,258.93 | $2,398.83 | $3,311.31 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $1,819.70 Median $3,548.13 Typical High $5,011.87 | Professional | 50 · Both sides | $1,819.70 | $3,548.13 | $5,011.87 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $776.25 Median $1,479.11 Typical High $2,089.30 | Professional | 62 · Two surgeons | $776.25 | $1,479.11 | $2,089.30 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $194.98 Median $380.19 Typical High $537.03 | Professional | 80 · Assistant surgeon | $194.98 | $380.19 | $537.03 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $169.82 Median $331.13 Typical High $467.74 | Professional | AS · PA/NP assist | $169.82 | $331.13 | $467.74 |
Cigna Setting Facility Modifier None Typical Low $851.14 Median $2,630.27 Typical High $3,388.44 | Facility | None | $851.14 | $2,630.27 | $3,388.44 |
Cigna Setting Professional Modifier None Typical Low $1,318.26 Median $1,862.09 Typical High $3,311.31 | Professional | None | $1,318.26 | $1,862.09 | $3,311.31 |
ConnectiCare Setting Facility Modifier None Typical Low $512.86 Median $676.08 Typical High $831.76 | Facility | None | $512.86 | $676.08 | $831.76 |
ConnectiCare Setting Professional Modifier None Typical Low $1,380.38 Median $1,862.09 Typical High $2,290.87 | Professional | None | $1,380.38 | $1,862.09 | $2,290.87 |
United Setting Facility Modifier None Typical Low $660.69 Median $2,691.53 Typical High $7,413.10 | Facility | None | $660.69 | $2,691.53 | $7,413.10 |
United Setting Professional Modifier None Typical Low $954.99 Median $1,862.09 Typical High $3,630.78 | Professional | None | $954.99 | $1,862.09 | $3,630.78 |
6 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $707.95 Median $1,000.00 Typical High $1,000.00 | Professional | 52 · Reduced service | $707.95 | $1,000.00 | $1,000.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $281.84 Median $398.11 Typical High $398.11 | Professional | 53 · Discontinued | $281.84 | $398.11 | $398.11 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,047.13 Median $1,513.56 Typical High $1,513.56 | Professional | 54 · Surgery only | $1,047.13 | $1,513.56 | $1,513.56 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $208.93 Median $302.00 Typical High $302.00 | Professional | 55 · Aftercare only | $208.93 | $302.00 | $302.00 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $141.25 Median $199.53 Typical High $199.53 | Professional | 56 · Pre-op care only | $141.25 | $199.53 | $199.53 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $977.24 Median $1,412.54 Typical High $1,412.54 | Professional | 78 · Unplanned return to OR | $977.24 | $1,412.54 | $1,412.54 |
Where Connecticut sits
The same service costs 3.7 times more in Alaska than in Delaware. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Physician feeFacility fee
AK $8,917DE $2,410
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.